@{Center}{{Header}}

    @{Center}{{TransactionDateTime}}

    @{Center}{{ApplicationLabel}}

    @{Center}{{ApplicationIdentifier}}    

    @{Label}ID du terminal@{Right}{{TerminalId}}

    @{Label}Ref#@{Right}{{ReferenceNumber}}
    @{Label}Compte#@{Right}{{AccountNumber}}
    @{Label}Carte@{Right}{{CardLogo}}
    @{Label}Mode d'entree@{Right}{{EntryMode}}
    @{Label}Type de compte@{Right}{{AccountType}}

    @{Label}ID de transaction@{Right}{{TransactionId}}
    @{Label}Code d'approbation@{Right}{{ApprovalNumber}}
    @{Label}Code de reponse@{Right}{{HostResponseCode}}

    @{Label}Odometre@{Right}{{Odometer}}
    @{Label}ID du vehicule@{Right}{{VehicleId}}
    @{Label}ID utilisateur@{Right}{{UserId}}
    @{Label}Numero de travail@{Right}{{JobNumber}}
    @{Label}ID du conducteur@{Right}{{DriverId}}
    @{Label}Numero d'employe@{Right}{{EmployeeNumber}}
    @{Label}Numero de remorque@{Right}{{TrailerNumber}}
    @{Label}Donnee supplementaire 1@{Right}{{AdditionalPromptedData1}}
    @{Label}Donnee supplementaire 2@{Right}{{AdditionalPromptedData2}}

    @{Center}{{IsApproved}}

    @{Center}{{Cryptogram}}

    @{Label}{{ReceiptType}}@{Right}@{CurrencyCode}{{SubTotalAmount}}

    @{Label}Remboursement@{Right}@{CurrencyCode}{{CashbackAmount}}
    @{Label}Pourboire@{Right}@{CurrencyCode}{{TipAmount}}
    @{Label}Montant de la surtaxe@{Right}@{CurrencyCode}{{SurchargeAmount}}

    ______________________

    @{Label}Total@{Right}@{CurrencyCode}{{TotalAmount}}

    X
    _________________________________________

    @{Center}{{PinVerified}}

    @{Center}{{CardHolderName}}

    {{Tags}}

    J'accepte de payer le montant total ci-dessus conformement au contrat de l'emetteur de la carte

    @{Center}{{Footer}}

    @{Center}{{CopyType}}